| Regimental number | 2647 |
| Date of birth | |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Grain merchant |
| Address | Warwick, Queensland |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Ethel Charlotte Dean, c/o C Dornbush, Avelon, Warwick, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 49th Battalion |
| Promotions |
2nd Lieutenant Unit: INF49 Promotion date: Lieutenant Unit: INF49 Promotion date: |
| Fate | Returned to Australia |